Dimitrijevic, Rodoljub

Dimitrijevic, Rodoljub is an individual health care provider with primary practice located at 43421 Garfield Rd Ste 1, Clinton Twp MI 48038-1133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dimitrijevic, Rodoljub can be contacted via phone (586) 286-6072.

Contact Information

Primary practice address
43421 Garfield Rd Ste 1 Clinton Twp MI 48038-1133
Phone: (586) 286-6072
Fax: (586) 286-0900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X RD034830 Michigan

Profile Details

NPI number 1164476206
LBN Legal business name Dimitrijevic, Rodoljub
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164476206 NPPES
Michigan MEDICAID 2115483
Michigan MEDICAID 1164476206
Michigan Other P00438007

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